Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 045721 | NY |
NPI | 1609910330 |
---|---|
Provider Name | Mr. Howard A Ochs |
First Address | Flushing, NY 11365-4218 |
Second Address | Flushing, NY 11365-4218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01770781 | (05) | NY |
T92611 | (02) | NY |